Active NPI
Allison Mackenzie Perrault, LCSW-A
- Social Worker
- Wilmington, NC
National Provider Identifier
1720860661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P018309
- Practice address
- 502 Market St
Wilmington, NC 28401-4635 - Phone
- (910) 202-4326
- NPI assigned
- Oct 16, 2023
- Last updated
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P018309 | NC | Primary |
Addresses
Primary practice location
502 Market St
Wilmington, NC 28401-4635
Mailing address
67 Westwood Knolls
Meriden, CT 06450
Phone (860) 866-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P018309 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KRC Counseling Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1720860661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WESTWOOD KNOLLS",
"city": "MERIDEN",
"state": "CT",
"postal_code": "06450",
"telephone_number": "860-866-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014635",
"telephone_number": "910-202-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRAULT",
"first_name": "ALLISON",
"middle_name": "MACKENZIE",
"name_prefix": "Ms.",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P018309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.